Orofacial harmonization in patient with permanent hemifacial paralysis

Vol. 1 – Number 3 – 2020 Case report Page 56 Orofacial harmonization in patient with permanent hemifacial paralysis Luiz Guedes de Carvalho Neto¹ Maria Carolina Bandeira Macena² Myllena Alves Xavier² Joelma Silva de Andrade³ ABSTRACT Facial paralysis, when present, must be treated in order to recover static and dynamic symmetry, significantly affected in patients with this condition. In the present case, the patient has facial paralysis on the right side due to resection of a schwannoma-like tumor in the mastoid region, evolving with marked ptosis of the epsilateral facial tissues, which brought discomfort to the patient, affecting as much as her social life. of your face using polydioxanone threads in conjunction with the use of Botulinum Toxin and filling with hyaluronic acid. The present work aims to report a case and correlate with the literature the use of polydioxanone threads in conjunction with the use of Botulinum Toxin and filling with hyaluronic acid in a patient with right facial hemiparalysis. The combination of techniques using the PDO wire for the facial lift together with botulinum toxin and hyaluronic acid, is a safe and effective procedure for correcting disharmonies on the face resulting from permanent damage to the facial nerve. Descriptors: Facial Paralysis, Botulinum Toxins, Rehabilitation. 1 Graduation in Dentistry, Me. in Oral and Maxillofacial Surgery and Traumatology. 2 Graduation in Dentistry, Sp. in Orthodontics. 3 Dentistry, Resident in Oral and Maxillofacial Surgery and Traumatology.